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1972190056
DAISY CARROLL
RENTON, WA
NPI
1972190056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60574553)
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
DAISY CARROLL
1114 TACOMA AVE NE
RENTON, WA 98056-3539
Phone number: 206-305-6492
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Mailing Address
DAISY CARROLL
1114 TACOMA AVE NE
RENTON, WA 98056-3539
Phone number: 206-305-6492
Copy
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